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Home My WebLink AboutXR2023-3415 - Permits"�WPoR, City of Newport Beach 11111111111111111111111111p111111111111111111p111p111111COMB Permit : XR2O23-3415 o� .1 ' Community Development Department- Building Division > 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No ~ n Permit Counter Phone: (949) 718-1888 Issued Date : 1210112023 newponbeachca.gov/civic Final Date: Cq</F00.N�P Combination Type - Permit Status: Issued Work Class - Other Inspection Area : 1 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address Description : 3708 PARK LN, A & B Legal Desc : P BK 51 PG 3 PAR 2 DUPLEX REROOF - INSTL 17 SQS OF COMP SHINGLES OVER EXISTING (1) LAYER OF SHINGLES. Owner: BURR WHITE REALTY Address : 2901 NEWPORT BLVD NEWPORT BEACH, CA 92663 Phone Applicant: BRANDI RUPPERT Address: 1529 W Orangewood Ave Orange, CA 92866-2423 Phone: (714)538-3780 Owner/Builder : Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height : Contractor: SCHILLER ROOFING Architect Address: 1527 W ORANGEWOOD AVE Address ORANGE, CA 92868 Phone: (714)538-3780 Phone: Con State Lie : 692490 State Lic Lic Expire : 11/30/2025 Bus Lic: BT30082372 Engineer: Bus Lic Expire : 08/31/2024 Address Workers' Compensation Insurance Phone: Carrier: AMERICAN ZURICH INSURANCE COMPANY Policy No : WC112583003 Designer W. C. Expire : 1213112023 Address Phone: 2022 Fire Sprinklers : V-B Fire Hazard Zone: U,R-3 No of Units : No of Stories NO Construction Valuation : $11,540.00 NO Added/New/Tl sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 6, Side: 3, Side: 3, Rear: 5 Flood Zone : X; AO 1 Use Zone: R-1 - Single -Unit ResidenLipl F PROCESSED BY: SPECIAL CONDITIONS: ^ I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to Construct alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($50D). 0 1„ as owner of the property, or my employeeswith wages as their sole compensation, will do U all of or U poStions of the work, and the structure Is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the Improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that It was not built or improved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improvesthereon, and who contracts for the pro)ects with a licensed Contractor pursuant to the Contractors' State License Law). I am exemp4 from licensure under the Contractors' Slate License Law for the following reason: ______.._ By my signature below [. acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalll sell a structure that I have built as an ownor-buildor if it has not been constructed in its entirety by licensed contractors. I understandthat a copy of the applicable law, Section 7044 of the Business and Professions Code, is avaliabls upon request when this application is submitted or at the following Web site;httpdiwv o�.legmfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700p1o' iV ion 3 of the Business and Profes Code, and y lice xk n flit force and effect. License Class License No Date G Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS• COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVV- FINES UP TO ONE HUNDRED THOUSAND 001:S ($100.;000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES hereby affirm under penalty of perjury one of the following declarations: -11 have and will maintain a certificate of consent to self-insura for workers' compensation,. issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th )erformanca of the work for which this permit is issued. Policy No. Whave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensation nsurance carrier and policy number are: 'amer Policy Number Expiration Date 'Jame of Agent Phone N :1I certify that, in the perform ce f the work for whlc hIs p His Issued, shall not employ any person in any manner so as to become subject to the workers compensation laws or CBlifomia, and 2gre, hat, if I should become Su ' ct to he worker omp sallo revisions of Section OO of the Labor Code, I shall forthwith comply with those provisions. J 2 n 3ignalure Of Applicant 1,,,,, �j� Date,/ •tern wowrrnu ecr oniAi sreby affirm under penaltyY perjury that th e is a constructicie hiding agency for the performance of the work forwhich this permit Is issued (Section 3097, Civil Code). rider's Name _ Lender's Address my signature below, I Certify to each of the fallowing: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the informali ve provided is correct. I agree to comply with all applicable city d cou y ordinances a d to laws rat Ing to building construction. I authorize representatives of this clt 6 count ter jk��aliZ yi Mgr , Vpy for insoectlon purposes. r7 _i 11 signature of Property Owner or Autho i A ACTION DATE BY17 PEAMtT EXPIREC PEAMiF CA.,vCE[, fD PERMIT EXTENOvD PERMIT FWAi CERTIFICATE OF OCCUPANCY ISSUED OF CQ9tYj DANCE WITH CODE OF FE.DEI PART 61 OF TITLE 40 AND AQMD RULE ED ASBESTOS NOTIFICATION TO NOTIFICATION IS NO1; AMICABLE TO Owner's or Authorized AD I FOR OFFICE USE ONLY Ix